基于能量平衡理论论述健运中焦法在体质量控制中的应用

Application of Invigorating Middle Energizer in Physical Constitution Regulation Based on the Theory of Energy Balance

肥胖是全球性关注的公共卫生问题。本研究以能量平衡理论为基础,结合中医藏象学说对人体中焦生理功能的认识,分析肥胖产生的原因以及在日常生活中的干预措施和治疗方法。阐述中医藏象学说、健运中焦法在减肥中的作用机制、重要作用和独特价值。探索中、西医学理论认知的相通之处,为更好地理解和治疗肥胖提供理论依据。中医藏象学说和养生观念认为中焦是人体能量代谢的枢纽。通过均衡膳食可以起到运脾化湿之功;健四肢、强筋肉达到疏肝健脾之效;畅情志、利胆胃维持易瘦体质。由此中焦健运,斡旋升降,则痰湿膏脂代谢有度;五脏六腑运转协调,能量代谢稳定平衡,则体质量可控,肥胖得治。在临床方面,也可以通过疏肝健脾,祛湿化痰,和胃利胆的思路,根据患者的实际情况进行辨证论治,结合饮食、锻炼、情志等方面的调摄,起到事半功倍的效果。

Obesity has become a public health problem concerned by people around the world.According to the theory of energy balance and the TCM visceral manifestation theory of the physiological functions of the middle energizer,we probed into the reasons for obesity and discussed the intervention measures and treatment methods in daily life.The mechanism,role,and unique value of invigorating middle energizer in losing weight were described from the TCM visceral manifestation theory.The similarities of theoretical cognition between traditional Chinese medicine and Western medicine were explored to provide a theoretical basis for understanding and treating obesity.According to the TCM visceral manifestation theory and the concept of health preservation,middle energizer is the pivot of human energy metabolism.People can activate the spleen for eliminating dampness through a balanced diet,sooth the liver and invigorate the spleen by physical exercise,maintain the thin constitution by regulating emotions and promoting the functions of gallbladder and stomach.Accordingly,the middle energizer can keep the normal function of transportation and regulates the ascending and descending of qi.Then,the metabolism of phlegm,dampness,and fat is moderate,and zang-fu organs keep harmonious,with balanced energy metabolism,which facilitates weight control.In clinical practice,we can yield twice the result with half the effort by soothing the liver and invigorating the spleen,eliminating dampness and resolving phlegm,and harmonizing the stomach and promoting gallbladder secretion according to the actual conditions of patients combined with regulation of diet,exercise,and emotions.